JAIME V. EVANGELISTA, JR (NPI# 1750839957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750839957 |
| Entity Type | Individual |
| Full Name | JAIME V. EVANGELISTA, JR |
| Credential | DMD |
| Practice Address |
24901 Santa Clara St # B2 Hayward CA 94544-2147 |
| Mailing Address |
24901 Santa Clara St # B2 Hayward Hayward CA 94544-2147 |
| Practice Telephone | 5108876835 |
| Practice Fax Number | 5108872872 |
| Mailing Telephone | 5108876835 |
| Mailing Fax Number | 5108872872 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 37103 | CA | Dental Providers |
| Street Address |
24901 SANTA CLARA ST # B2 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1417574385 | Jack M Tsai Dmd Inc | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2020-06-26 |
| 1568928778 | Exconde-evangelista Dental Corporation | Clinic/Center | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2019-02-12 |
| 1215396809 | Dr Jaime V. Evangelista Jr., Dmd | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073970778 | Jin Chung | Dentist | 24307 Southland Dr, Hayward, CA 94545-1517 | 2016-01-26 |
| 1588021398 | Suong Le Dental Corporation | Dentist | 805 Fletcher Ln, Hayward, CA 94544-1010 | 2016-01-25 |
| 1154793206 | Big Smile Dental Group, PC By Evangeline M. Memoracion D.d.s. | Dentist | 22429 Foothill Blvd, Hayward, CA 94541-4024 | 2015-10-28 |
| 1801288071 | Brian R Fong | Dentist | 21048 Haviland Ave, Hayward, CA 94541-2036 | 2015-02-25 |
| 1376932459 | Eugene Roytman Dmd, Inc | Dentist | 1866 B Street, Hayward, CA 94541 | 2015-01-13 |
| 1871930446 | Tran Villas Dental PC | Dentist | 26775 Hayward Blvd, Ste P, Hayward, CA 94542-2082 | 2013-05-22 |
| 1770862518 | Paulina Janette Del Rio | Dentist | 27724 Bruno St, Hayward, CA 94544-5259 | 2011-08-10 |
| 1013147438 | Jack M. Tsai | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2009-07-20 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1184862187 | Fernando Roberto Soto | Dentist | 25879 Gettysburg Ave, Hayward, CA 94545-2901 | 2009-01-29 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.